EP0495485B1 - Phenoxyalkylcarboxylic acid derivatives, process of preparing the same and anti-allergic agents - Google Patents

Phenoxyalkylcarboxylic acid derivatives, process of preparing the same and anti-allergic agents Download PDF

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EP0495485B1
EP0495485B1 EP92100614A EP92100614A EP0495485B1 EP 0495485 B1 EP0495485 B1 EP 0495485B1 EP 92100614 A EP92100614 A EP 92100614A EP 92100614 A EP92100614 A EP 92100614A EP 0495485 B1 EP0495485 B1 EP 0495485B1
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EP0495485A3 (en
EP0495485A2 (en
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Mitsuo Ohashi
Toshio Tanaka
Norihisa Ishikawa
Tetsuya Kishi
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Kyorin Pharmaceutical Co Ltd
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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C323/00—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups
    • C07C323/22—Thiols, sulfides, hydropolysulfides or polysulfides substituted by halogen, oxygen or nitrogen atoms, or by sulfur atoms not being part of thio groups containing thio groups and doubly-bound oxygen atoms bound to the same carbon skeleton

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  • the present invention concerns novel phenoxyalkylcarboxylic acid derivatives having a strong and selective leukotriene antagonistic action and useful for prophylaxis and therapy of allergic diseases as asthma, and processes of preparing the same.
  • leukotrienes which are metabolites of arachidonic acid through 5-lipoxygenase pathway, are the components of SRS-A (slow reactiong substance of anaphylaxis) considered to be a major etiogenic substance of immediate type allergic diseases such as bronchial asthma and so on.
  • leukotriene antagonists are expected as a useful anti-allergic agent.
  • phenoxyalkylcarboxylic acid derivatives act as leukotriene antagonists (Japanese Laid-open Publication No. Hei 2-1459 corresponding to EP 0 332 109 and US 4,985,585), but there has been an increasing need for the preparation of compounds having activity in vivo.
  • phenoxyalkylcarboxylic acid derivarives represented by the following general formula (1) have a strong and selective leukotriene antagonistic action, and completed the present invention.
  • R1 denotes a hydrogen atom, methyl group and ethyl group.
  • the compound of the general formula (1) can be prepared through the routes mentioned below.
  • the compound of the present invention showed strong antagonistic action to leukotriene D4 in the isolated guinea pig trachea. Furthermore, the compound intravenously injected inhibited leukotriene D4 -induced bronchoconstriction even at a lower dose level.

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Description

  • The present invention concerns novel phenoxyalkylcarboxylic acid derivatives having a strong and selective leukotriene antagonistic action and useful for prophylaxis and therapy of allergic diseases as asthma, and processes of preparing the same.
  • The leukotrienes (leukotriene C₄, D₄, E₄), which are metabolites of arachidonic acid through 5-lipoxygenase pathway, are the components of SRS-A (slow reactiong substance of anaphylaxis) considered to be a major etiogenic substance of immediate type allergic diseases such as bronchial asthma and so on.
  • Hence, leukotriene antagonists are expected as a useful anti-allergic agent.
  • The inventors of the present invention had formerly found that phenoxyalkylcarboxylic acid derivatives act as leukotriene antagonists (Japanese Laid-open Publication No. Hei 2-1459 corresponding to EP 0 332 109 and US 4,985,585), but there has been an increasing need for the preparation of compounds having activity in vivo.
  • As the result of diligent study concerning leukotriene antagonists, the inventors of the present invention have found that phenoxyalkylcarboxylic acid derivarives represented by the following general formula (1) have a strong and selective leukotriene antagonistic action, and completed the present invention.
    Figure imgb0001

    wherein R¹ denotes a hydrogen atom, methyl group and ethyl group.
  • According to the present invention, the compound of the general formula (1) can be prepared through the routes mentioned below.
    • (1) A compound of the following general formula (1a) can be prepared by allowing a compound of the general formula (2) to react with a compound of the general formula (3)
      Figure imgb0002
      wherein R² denotes methyl group or ethyl group.
      Figure imgb0003
      wherein R² denotes methyl group or ethyl group.
      Figure imgb0004
      wherein Y denotes a halogen atom.
      The reaction is preferably conducted in an organic solvent, for example, acetone, methylethylketone, diethylketone or dimethylformamide at a reaction temperature of room temperature to solvent refluxing temperature. Then, the presence of an inorganic base, for example, potassium carbonate or sodium carbonate and further the addition of potassium iodide are also favorable.
      A compound of the general formula (1a) can be converted into the corresponding carboxylic acid compound by a conventional method.
    • (2) A compound represented by the general formula (1) can be prepared by allowing a compound of the general formula (4) to react with a compound of the formula (5), if necessary, followed by hydrolysis thereof.
      Figure imgb0005
      wherein Y denotes a halogen atom and R¹ denotes a hydrogen atom, methyl group or ethyl group.
      Figure imgb0006
      The reaction is conducted according as the method (1) and is preferably conducted in an organic solvent, for example, acetone, methylethylketone, diethylketone or dimethylformamide at a reaction temperature of room temperature to the solvent refluxing temperature. Then, the presence of an inorganic base, for example, potassium carbonate or sodium carbonate and further the addition of potassium iodide are also favorable.
    • (3) A compound represented by the general formula (7) can be prepared by allowing a compound of the general formula (6) to undergo a catalytic hydrogenation with hydrogen or to react with a reducing agent.
      Figure imgb0007
      wherein R denotes a hydrogen atom or halogenopropyl group and R¹ denotes a hydrogen atom, methyl group or ethyl group.
      Figure imgb0008
      wherein R and R¹ are as mentioned above.
      The catalytic hydrogenation with hydrogen is preferably conducted, under the ordinary pressure or an increased pressure, in methanol, ethanol, tetrahydrofuran or dimethylformamide at a reaction temperature of 0 °C to the solvent refluxing temperature. The catalyst to be used is favorably a heterogeneous or homogeneous palladium, nickel, rhodium or ruthenium and furthermore the use of asymmetric catalyst is also favorable.
      In case of the reaction with reducing agent, it is preferably allowed to react with the reducing agent, for example, sodium borohydride or lithium aluminum hydride in methanol, ethanol, tetrahydrofuran or dimethylformamide at a reaction temperature of cooling with ice to the solvent refluxing temperature.
      In case R¹ denotes methyl group or ethyl group in the general formula (7), it can be converted in the corresponding carboxylic acid compound by a conventional method.
      Furthermore, the compound represented by the general formula (1) has an asymmetric carbon on 1-position of 1-hydroxyethyl group and so two kinds of optical isomer exist basing on the asymmetric carbon, but the respective isomers or the mixture thereof are all involved in the present invention.
      The two kinds of optical isomer can be optically resolved, for example, by forming diastereomeric salt of base such as (S)-(-)-1-(1-naphthyl) ethylamine with the corresponding carboxylic acid compound or, by taking out with separation using an optically active column. This optical resolution is possible in the compound of the general formula (1) as well as in that of the general formula (7).
      Further, the compound represented by the general formula (1), if desired, can be converted into the salt thereof by a conventional method. As the salt thereof, the salt of sodium, potassium, calcium or aluminum is exemplified.
  • In the following, the present invention is illustrated by the concrete examples.
  • Example 1 4-[3-[3-(4-acetyl-3-hydroxy-2-propylphenylthio) propoxy]-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid

  • (i) A mixture of 8.7g of ethyl 4-(3-hydroxy-6-(1-hydroxyethyl)-2-propylphenoxy) lactate, 10.21g of (4-(3-bromopropylthio)-2-hydroxy-3-propylphenyl) ethanone, and 7.79g of potassium carbonate and acetone (70ml) was refluxed with heating and stirring. To the reaction mixture were added 2.79 g of (4-(3-bromopropylthio)-2-hydroxy-3-propylphenyl) ethanone after 9 hours and 3.87 g of pottasium carbonate after 9 hours, 11 hours and 16 hours respectively. Then, after the mixture was refluxed with heating and stirring for 18 hours in all, the inorganic matter was filtered off and the filtrate was distilled off under the reduced pressure,
    The residue was purified through medium pressure silica gel column chromatography (benzene: ethyl acetate = 9:1) to afford 13.6 g of crude ethyl 4-[3-[3-(4-acetyl-3-hydroxy-2-propylphenylthio)propoxy]-6-(1-hydroxyethyl)-2-propylphenoxy]butanoate as an oily product (86.5 %).
    (ii) To a solution of 6.60 g of ethyl 4-[3-[3-(4-acetyl-3-hydroxy-2-propylphenylthio)propoxy]-6-(1-hydroxyethyl)-2-propylphenoxy] butanoate in 10 ml of ethanol was added a solution of 1.41 g of sodium hydroxide in 10 ml of water. After stirred at room temperature for 5 minutes, the mixture was cooled by addition of ice water and washed with ether. To the aqueous layer was acidified with hydrochloric acid and was extracted with ethyl acetate. The organic layer was washed with water, dried over sodium sulfate and concentrated. After the residue was purified through medium pressure silica gel column chromatography (normal phase with methylene chloride: ethanol = 100:3, then reverse phase with methanol: water = 19:1), it was recrystallized from methanol-water to afford 1.98 g of the aimed product as colorless crystal (31.6 %).
       Melting point 85 - 86 °C
    Elementary analysis (%) for C₂₉H₄₀O₇S
    Calculated value (Observed value)
    C: 65.39 (65.20) H: 7.57 (7.63)
  • Example 2 Ethyl 4-(3-hydroxy-6-(1-hydroxyethyl)-2-propylphenoxy) butanoate
  • 16.4 g of ethyl 4-(6-acetyl-3-hydroxy-2-propylphenoxy) lactate was dissolved into 90 ml of ethanol and added with 1.2 g of 5 % palladium-on-charcoal, the mixture of which was then subjected to catalytic hydrogenation with hydrogen under the atmospheric pressure with water cooling.
  • After completion of the reaction, the catalyst was filtered off and the filtrate was concentrated. The residue was purified through medium pressure silica gel column chromatography (benzene: ethyl acetate = 7:3) to afford 14.0 g of the aimed product being light yellow oily (84.8 %).
    ¹H-NMR (CDCl₃) δ:
    0.98 (3H, t, J = 7Hz),
    1.28 (3H, t, J = 7Hz),
    1.48 (3H, d, J = 6Hz),
    1.58 (2H, m),
    2.14 (2H, m),
    2.4 - 2.6 (5H, m),
    3.8 - 3.9 (2H, m),
    4.17 (2H, q),
    - 5.1 (1H, m),
    5.65 (1H, s),
    6.56 (1H, d, J = 9Hz),
    7.11 (1H, d, J = 9Hz).
  • Example 3 Ethyl 4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoate
  • To a solution of 15.0 g of ethyl 4-[6-acetyl-3-(3-chloropropoxy)-2-propylphenoxy] butanoate in 195 ml of methanol was added 2.9 g of sodium borohydride in portions of small quantity under ice cooling and the mixture was stirred at the same temperature for two hours. To the reaction mixture was added 100 ml of water and the solvent was distilled off under reduced pressure. Then, the mixture was acidified with 2N-hydrochloric acid under ice cooling, followed by extraction with ethyl acetate. The organic layer was distilled off under reduced pressure to afford 14.6 g of the aimed product as light yellow oily matter (96.8 %).
    NMR (CDCl₃) δ:
    0.96 (3H, t, J = 7Hz),
    1.27 (3H, t, J = 7Hz),
    1.40 - 1.80 (2H, m),
    1.47 (3H, d, J = 6.6Hz),
    2.00 - 2.40 (4H, m),
    2.40 - 2.70 (5H, m),
    3.70 - 4.00 (4H, m),
    4.00 - 4.30 (4H, m),
    5.10 (1H, q, J = 6.6Hz),
    6.70 (1H, d, J = 8.4Hz),
    7.20 (1H, d, J = 8.8Hz).
  • Example 4 4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-3-propylphenoxy] butanoic acid
  • To a solution of 14.6 g of ethyl 4-(3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoate in 85 ml of ethanol was dropwise added 33.3 ml of an aqueous solution of 1.67 g of sodium hydroxide under ice cooling. After stirred for an hour as it was and then allowed to react for 4 hours at room temperature, 5 ml of aqueous solution of 250 mg of sodium hydroxide was twice supplemented to the reaction mixture with interval of an hour to allow the reaction proceeds. After addition of 1N hydrochloric acid under ice cooling to acidify and distillation off of the solvent under reduced pressure, the reaction mixture was alkalilized with 5 % aqueous solution of sodium hydroxide and washed with ethyl acetate. The aqueous layer was acidified with 1N hydrochloric acid and extracted with ethyl acetate. The organic layer was dried over anhydrous sodium sulfate after washed with water and saturated aqueous solution of sodium chloride. It was subjected to distillation off of the solvent under reduced pressure to afford 12.9 g of the aimed product as light yellow oily matter (yield 95.1 %).
    NMR (CDCl₃) δ:
    0.95 (3H, t, J = 7.3Hz),
    1.38 - 1.80 (2H, m),
    1.47 (3H, d, J = 6.6Hz),
    2.00 - 2.40 (4H, m),
    2.40 - 2.75 (4H, m),
    3.62 - 3.94 (4H, m),
    4.08 (2H, t, J = 5.7Hz),
    5.12 (1H, q, J = 6.6Hz),
    6.66 (1H, d, J = 8.8Hz),
    7.22 (1H, d, J = 8.8Hz).
  • Example 5 (+)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid and (-)-4-[3-(3-chloropropoxy-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid
  • To a solution of 5.0 g of 4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid in 7 ml of ethyl acetate was added 2.15 ml of (s)-(-)-1-(1-naphthyl) ethylamine, which was then allowed to stand for overnight. The precipitate was collected by filtration and dried after washing with cold ethyl acetate to afford 1.07 g of crude salt. The crude salt was three times recrystallized from ethyl acetate to afford 68.0 mg of (s)-(-)-1-(1-naphthyl) ethylamine salt of (+)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid (melting point 124.0 - 125.0 °C, [α] 20 D 
    Figure imgb0009
    + 4.1° (c = 1.05, ethanol)). This salt was acidified with 1N hydrochloric acid under ice cooling and extracted with ethyl acetate. After washed with water and saturated aqueous solution of sodium chloride, the organic layer was dried over anhydrous sodium sulfate and subjected to distillation off of the solvent under reduced pressure to afford 42.6 mg of (+)-4-[3-[3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid as slightly yellow oily matter. [α] 20 D 
    Figure imgb0010
    + 19.0° (c = 0.852, ethanol) The filtrate separated from the crude salt was acidified with 1N hydrochloric acid under ice cooling and extracted with ethyl acetate. After washed with water and saturated aqueous solution of sodium chloride, the organic layer was dried and subjected to distillation off of the solvent to afford 4.45 g of residue, which was then dissolved into 7 ml of ethyl acetate, added with 1.92 ml of (R)-(+)-1-(1-naphthyl) ethylamine and allowed to stand for overnight. The precipitate was collected by filtration and dried after washing with cold ethyl acetate to afford 1.53 g of crude salt.
  • The crude salt was three times recrystallized with ethyl acetate to afford 141.4 mg as colorless needle crystal of (R)-(+)-1-(1-naphthyl) ethylamine salt of (-)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] lactic acid (melting point 123.0 - 124.5 °C [α] 20 D 
    Figure imgb0011
    - 4.1° (c = 1.084, ethanol). To this salt was acidified with 1N hydrochloric acid under ice cooling, which was then extracted with ethyl acetate. After washed with water and saturated aqueous solution of sodium chloride, the organic layer was dried over anhydrous sodium sulfate and subjected to distillation off of the solvent to afford 55.9 mg of (-)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid as slightly yellow oily matter. [α] 20 D 
    Figure imgb0012
    - 19.1° (c = 1.034, ethanol)
  • Example 6 (-)-4-[3-(3-(4-acetyl-3-hydroxy-2-propylphenylthio) propoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid
  • A mixed solution of 55.9 mg of (-)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid, 39.3 mg of (2-hydroxy-4-mercapto-3-propylphenyl) ethanone, 51.7 mg of potassium carbonate and 1 ml of dimethylformamide was stirred at room temperature for 6 hours. The reaction mixture was poured into ice water, acidified with 1N-hydrochloric acid, and extracted with ethyl acetate. After washed with water and saturated aqueous solution of sodium chloride, the organic layer was dried over anhydrous sodium sulfate and subjected to distillation off of the solvent under reduced pressure to afford residue, which was then purified through silica gel column chromatography (methylene chloride: methanol = 20:1) and further purified through preparative thin layer chromatography (methylene chloride: methanol = 15:1) to afford 29.8 mg of yellow oily matter as the title compound (35.9 %). [α] 20 D 
    Figure imgb0013
    - 13.8° (c = 2.98, ethanol)
    NMR (CDCl₃) δ:
    0.84 - 1.17 (6H, m),
    1.37 - 1.75 (4H, m),
    1.49 (3H, d, J = 6.6Hz),
    2.09 - 2.36 (4H, m),
    2.40 - 2.78 (6H, m),
    2.58 (3H, s),
    3.19 (2H, t, J = 7.5Hz),
    3.74 - 4.13 (6H, m),
    5.12 (1H, q, J = 6.2Hz),
    6.64 (1H, d, J = 8.8Hz),
    6.76 (1H, d, J = 8.4Hz),
    7.23 (1H, d, J = 8.4Hz),
    7.50 (1H, d, J = 8.4Hz),
    12.73 (1H, s).
  • Example 7 (+)-4-[3-(3-(4-acetyl-3-hydroxy-2-propylphenylthio)propoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid
  • A mixed solution of 42.6 mg of (+)-4-[3-(3-chloropropoxy)-6-(1-hydroxyethyl)-2-propylphenoxy] butanoic acid, 30.0 mg of (2-hydroxy-4-mercapto-3-propylphenyl) ethanone, 39.4 mg of potassium carbonate and 1 ml of dimethylformamide was stirred at room temperature for 4 hours. The reaction mixture was poured into ice water, acidified with 1N hydrochloric acid and extracted with ethyl acetate. After washed with water and saturated aqueous solution of sodium chloride, the organic layer was dried over anhydrous sodium sulfate and subjected to distillation off of the solvent under reduced pressure to afford residue. The residue was purified through silica gel column chromatography (methylene chloride: ethanol = 20:1) and further through preparative thin layer chromatography (methylene chloride: methanol = 1.5:1) to afford 16.1 mg of yellow oily water as the title compound (yield 25.4 %). [α] 20 D 
    Figure imgb0014
    + 13.3° (c = 1.56, ethanol)
    NMR (CDCl₃) δ:
    0.84 - 1.17 (6H, m),
    1.37 - 1.75 (4H, m),
    1.48 (3H, d, J = 6.6Hz),
    2.09 - 2.36 (4H, m),
    2.40 - 2.78 (6H, m),
    2.58 (3H, S),
    3.19 (2H, t, J = 7.5Hz),
    3.56 (2H, brs),
    3.81 - 4.07 (4H, m),
    5.12 (1H, q, J = 6.6Hz),
    6.64 (1H, d, J = 8.8Hz),
    6.76 (1H, d, J = 8.8Hz),
    7.23 (1H, d, J = 8.4Hz),
    7.50 (1H, d, J = 8.4Hz),
    12.74 (1H, S).
  • Experimental Example 1 Effects on leukotriene D₄ -induced bronchoconstriction in guinea pigs
  • Male Hartly guinea pigs weighing about 450 g were anesthetized with sodium pentobarbital (30 mg/kg,i.p.) and the change in intra-tracheal pressure was measured according to modified Konzett-Rössler method (J.Harvey, et al., J.Phamacol. Method, 9, 147-155, 1983). Bronchoconstriction was indused by i.v. injection of leukotriene D₄ (3»g/kg) into the left external jugular vein. Animals were pretreated with i.v. injection of indomethacin and propranolol. The compound of Example 1 as sodium salt solution was i.v. administered 3 min before leukotriene D₄ injection. The result was showed in Table 1.
  • The compound of the present invention showed strong antagonistic action to leukotriene D₄ in the isolated guinea pig trachea. Furthermore, the compound intravenously injected inhibited leukotriene D₄ -induced bronchoconstriction even at a lower dose level.
  • These results indicate that the compound in the present invention represented by the general formula (1) are useful for treatment of the diseases caused by leukotrienes, such as bronchial asthma, allergy of eye, nose and gastrointestinal tract, allergic dermatitis, circulatory and so on. Table 1
    Tested Compound Dose (mg/kg, i. v.) Inhibition (%)
    Example 1 0.125 -0.5
    0.25 45.6
    0.5 56.8
    1.0 71.1

Claims (5)

  1. A method of preparing a phenoxyalkylcarboxylic acid derivative or an alkali salt thereof represented by the general formula (1)
    Figure imgb0025
    wherein R¹ denotes a hydrogen atom, a methyl group or an ethyl group characterized in that a compound represented by the general formula (2)
    Figure imgb0026
    wherein R² denotes a methyl group or an ethyl group, is allowed to react with a compound represented by the general formula (3)
    Figure imgb0027
    wherein Y denotes a halogen atom, to afford a compound represented by the general formula (1a)
    Figure imgb0028
    wherein R² denotes a methyl group or an ethyl group, and if desired followed by hydrolysis thereof.
  2. A method of preparing a compound of the general formula (1)
    Figure imgb0029
    wherein R¹ denotes a hydrogen atom, a methyl group or an ethyl group characterized in that a compound represented by the general formula (4)
    Figure imgb0030
    wherein Y denotes a halogen atom and R¹ denotes a hydrogen atom, a methyl group or an ethyl group, is allowed to react with a compound represented by the general formula (5)
    Figure imgb0031
    and, if desired, the product obtained is subjected to hydrolysis.
  3. A method of preparing a compound of the general formula (7)
    Figure imgb0032
    wherein R denotes a hydrogen atom or a halogenopropyl group and R¹ denotes a hydrogen atom, a methyl group or an ethyl group, characterized in that a compound represented by the general formula (6)
    Figure imgb0033
    wherein R denotes a hydrogen atom or a halogenopropyl group and R¹ denotes a hydrogen atom, a methyl group or an ethyl group, is subjected to hydrogenation.
EP92100614A 1991-01-18 1992-01-15 Phenoxyalkylcarboxylic acid derivatives, process of preparing the same and anti-allergic agents Expired - Lifetime EP0495485B1 (en)

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JP54207/91 1991-01-18
JP5420791 1991-01-18
JP3359460A JPH0551359A (en) 1991-01-18 1991-12-26 Phenyloxyalkylcarboxylic acid derivative and process for producing the same
JP359460/91 1991-12-26

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US4985585A (en) 1988-03-07 1991-01-15 Kyorin Pharmaceutical Co., Ltd. Phenoxyalkylcarboxylic acid derivatives and process for their preparations
JP2007534771A (en) * 2004-04-27 2007-11-29 メディシノバ,インコーポレーテッド Phenoxyalkylcarboxylic acid derivatives in the treatment of inflammatory diseases
JP2013119550A (en) 2011-12-08 2013-06-17 Medicinova Inc Method for treating nonalcoholic fatty liver disease and nonalcoholic steatohepatitis
US8962687B2 (en) 2012-12-05 2015-02-24 Medicinova, Inc. Method of treating liver disorders
WO2015013395A1 (en) 2013-07-25 2015-01-29 Medicinova, Inc. Methods for reducing triglyceride, total cholesterol and low density lipoprotein blood levels
US9346754B2 (en) 2014-05-08 2016-05-24 Medicinova, Inc. Method of treating advanced non-alcoholic steatohepatitis
US20150321989A1 (en) 2014-05-08 2015-11-12 Medicinova, Inc. Method of treating idiopathic pulmonary fibrosis
CA2950909C (en) 2014-06-02 2023-03-28 Medicinova, Inc. Method of inhibiting or treating fibrosis
CN117320701A (en) 2021-05-28 2023-12-29 美迪诺亚公司 A method of reducing triglyceride synthesis in the liver

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US4565882A (en) * 1984-01-06 1986-01-21 G. D. Searle & Co. Substituted dihydrobenzopyran-2-carboxylates
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